<%-- 
    Document   : register
    Created on : Jun 5, 2011, 11:21:53 AM
    Author     : ANHTUAN
--%>

<%@page contentType="text/html" pageEncoding="UTF-8"%>
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
   "http://www.w3.org/TR/html4/loose.dtd">

<html>
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
        <title>Register Page</title>
    </head>
    <body>
        <form action="" >
            <h1>Register for new account!</h1>
            <table cellpadding="8">
                <tr>
                    <td colspan="2"><p><b>Please fill all fields below to register!</b></p></td>
                </tr>

                <tr>
                    <td colspan="2"><h4>User's account: </h4></td>
                </tr>
                <tr>
                    <td>
                        Username:
                    </td>
                    <td>
                        <input type="text" id="txtUsername" name="username" size="25"/>*
                </tr>

                <tr>
                    <td>
                        Password:
                    </td>
                    <td>
                        <input type="password" id="txtPassword" name="password" size="20"/>*
                    </td>
                </tr>

                <tr>
                    <td>
                        Confirm password:
                    </td>
                    <td>
                        <input type="password" id="txtConfPass" name="confPass" size="20"/>*
                    </td>
                </tr>

                <tr>
                    <td colspan="2"><h4>User's Profile:</h4></td>
                </tr>
                <tr>
                    <td>
                        First name:
                    </td>
                    <td>
                        <input type="text" id="txtFirstname" name="firstname" size="25"/>*
                    </td>
                </tr>
                <tr>
                    <td>
                        Last name:
                    </td>
                    <td>
                        <input type="text" id="txLastname" name="lastname" size="25"/>*
                    </td>
                </tr>
                <tr>
                    <td>
                        Male:
                    </td>
                    <td>
                        <input type="checkbox" id="ckbMale" name="male"/> Male
                    </td>
                </tr>
                <tr>
                    <td>
                        Birth day:
                    </td>
                    <td>
                        <input type="text" id="txtBirthday" name="birthday" size="30"/>*
                    </td>
                </tr>
                <tr>
                    <td>
                        Merriage Satus:
                    </td>
                    <td>
                        <input type="text" id="txtMer" name="mer" size="20"/>*
                    </td>
                </tr>
                <tr>
                    <td>
                        Address:
                    </td>
                    <td>
                        <textarea name="address" id="txtAddress" rows="3" cols="25" ></textarea>
                    </td>
                </tr>
                <tr>
                    <td>
                        Email:
                    </td>
                    <td>
                        <input type="text" id="txtEmail" name="email" size="50"/>
                    </td>
                </tr>
                <tr>
                    <td>
                        Phone:
                    </td>
                    <td>
                        <input type="text" id="txtPhone" name="Phone" size="30"/>
                    </td>
                </tr>
				<tr>
                    <td>
                        Fax:
                    </td>
                    <td>
                        <input type="text" id="txtFax" name="Fax" size="30"/>
                    </td>
                </tr>
				<tr>
                    <td>
                        Occpation:
                    </td>
                    <td>
                        <input type="text" id="txtOccpation" name="Occpation" size="30"/>
                    </td>
                </tr>
				<tr>
                    <td>
                        Company:
                    </td>
                    <td>
                        <input type="text" id="txtCompany" name="Company" size="30"/>
                    </td>
                </tr>

                <tr>
                    <td colspan="2"><p>(*) field is required!</p></td>
                </tr>

                <tr>
                    <td>
                        <input type="submit" id="btnSubmit" name="do" value="Submit" size="15"/>
                    </td>
                    <td>
                        <input type="reset" id="txtReset" name="do" value="Reset" size="15"/>
                    </td>
                </tr>
            </table>
        </form>
    </body>
</html>